WINTER HAVEN FAMILY PRACTICE, PA (NPI# 1528427150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528427150 |
| Entity Type | Organization |
| Organization Name | WINTER HAVEN FAMILY PRACTICE, PA |
| Practice Address |
1130 1st St S Winter Haven FL 33880-3903 |
| Practice Telephone | 8632297486 |
| Practice Fax Number | 8632806614 |
| Mailing Telephone | 8632297486 |
| Mailing Fax Number | 8632806614 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | DR. JAIME ABUAN (PRESIDENT) |
| Authorized Official Telephone | 8632297486 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME90989 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 270542700 | 05 |
| Street Address |
1130 1ST ST S |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467812099 | South Beach Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1130 1st St S, Winter Haven, FL 33880-3903 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922639442 | Rodolfo Dumenigo Md Pa | Clinic/Center | 410 1st St S, Winter Haven, FL 33880-3504 | 2020-02-03 |
| 1548891070 | Miami Beach Medical Consultants, LLC. | Clinic/Center | 410 1st St S, Winter Haven, FL 33880-3504 | 2020-02-03 |
| 1770093916 | Md Medical Operations LLC | Clinic/Center | 410 1st St S, Winter Haven, FL 33880-3504 | 2017-10-02 |
| 1376784470 | Kinder Clinic, P.a. | Clinic/Center | 435 2nd St Ne, Winter Haven, FL 33881-4103 | 2009-03-19 |
| 1518130509 | First Family Practice, Inc | Clinic/Center | 320 1st St S, Suite 200, Winter Haven, FL 33880-3501 | 2008-04-10 |
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| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on WINTER HAVEN FAMILY PRACTICE, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.